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BAXLEY DIALYSIS
NPI 1316916356
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Baxley, GA

Active since March 14, 2006CLIA 11D0929221 · Waiver
3/5
Overall Rating
539 FAIR ST, BAXLEY, GA 31513(912) 366-0202(912) 366-0333 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2024, Dec 21, 2020, Apr 10, 2019 and 1 more (4 updates tracked since 2019).

About Baxley Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAXLEY DIALYSIS (NPI 1316916356) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Baxley, Georgia and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1316916356
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA RENAL HEALTHCARE INC
Location Address539 FAIR STBaxley, GA 31513-0112
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(912) 366-0202
Fax(912) 366-0333
Organization SubpartNo
Authorized OfficialSamuel WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateMarch 14, 2006
Last NPPES UpdateMay 30, 20244 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1316916356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in GA · ESRD001055
539 FAIR ST, Baxley, GA 31513
Open in Google Maps ↗

Other Names 1

Doing Business AsBaxley Dialysis

Other Identifiers 1

Medicaid000758403CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Superior HealthPlan, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0929221

Baxley Dialysis · Baxley, GA
Active · expires Jun 8, 2027
CLIA Number11D0929221
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorGarrett White
Laboratory Phone(912) 366-0202
Laboratory LocationBaxley Dialysis539 Fair Street, Baxley, GA 31513
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Baxley Dialysis (CMS certification number 112638), from CMS Care Compare.

DaVita Baxley Dialysis

Dialysis facility · Baxley, GA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number112638
ESRD NetworkNetwork 6
Hemodialysis Stations13
Medicare-Certified SinceMay 7, 1997
Location539 FAIR STREETBaxley, GA 31513 · Appling County
Phone(912) 366-0202
Services Offered
In-center hemodialysis

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is DVA Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1316916356. It was assigned to this organization in the NPPES registry on March 14, 2006. The provider is doing business as Baxley Dialysis.

Where is DVA Renal Healthcare Inc located?

DVA Renal Healthcare Inc is located at 539 Fair St, Baxley, GA 31513. The listed phone number is (912) 366-0202.

What is DVA Renal Healthcare Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does DVA Renal Healthcare Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0929221) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is DVA Renal Healthcare Inc a Medicare-certified dialysis facility?

Yes. DaVita Baxley Dialysis is a Medicare-certified dialysis facility, certified since May 7, 1997.

What quality rating does DVA Renal Healthcare Inc have?

CMS rates DaVita Baxley Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does DVA Renal Healthcare Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Superior HealthPlan, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list DVA Renal Healthcare Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for DVA Renal Healthcare Inc was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.